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T <br />O <br />3' <br />J <br />L <br />C <br />m <br />O <br />W <br />• SENDE R: Complete items 1, 2, 3 and 4. <br />.Put your atldress in [he "RETURN TO" space o~ [he <br />-iaverse'sda. Failu ra to tlo thrs will prevent this cartl Irom <br />being returned t0 ypu. Ttre return receipt t¢¢ will DrOwde <br />you the name of the parson delivered to and the date of <br />tlelrverV. FOr etltlitipnel ieet the following services ere <br />available. Consult poftmaater for fees antl check boxlefl <br />for <br />s <br />arvicelsl requested. <br />rr <br />~s <br />1, u $hOw to whom, de[e end address of tlalivery, <br />Z. ^ Re,rricfed Delivery. <br />3. Article Atldressetl to: <br />Trinidad Basin Mining, Inc. <br />P. 0. Box 783 <br />Trinidad, CO 81082 <br />4. Type of Service: Article Number <br />Registered ^ Insgred <br />Certified ^ COD P 652 674 440 <br />^ Express Mail <br />Always obtain signature of addressee or agent and <br />DATE DELIVERED. <br />ignetun - Ayp <br />~ ~~ <br />X <br />6. Signature// AtMni <br />x <br />7. Date of Delivery <br />8. Atltlrassea's Adtlrass (ONLY iJrequm a ee Pe <br />3 <br />m <br />N <br />H <br />A <br />A <br />m <br />ti <br />C <br />2 <br />a <br />m <br />A <br />m <br />9 <br />H <br /> <br />P 652 674 440 <br />o RECEIPT FOR CERTIFIED MAIL <br />~ NO INSURANCE CaVERAGE ?RDVIDED <br />NOT FOR INTERNATIONAL MAIL <br />0 <br />U <br />., t. <br />vs <br />C~ <br />a, <br />o~ <br />d <br />M LL <br />N d <br />Gt e! <br />~ e <br />C <br />rd <br />i <br />N <br />t <br />N <br />M <br />,--i N <br />C <br />r, ~ <br />~LL <br />~~ <br />J <br />F <br />E <br />IL <br />N <br />a <br />(See Reverse) <br />se"11ofrinidad Basin Mining <br />Street ntl o. <br />~.~ Box 783 <br />P.o.'s~'~~id'ac~,°d~0 81082 <br />Postage s <br />CeRlfietl Fee <br />Special Dellvery Fee <br />Restricted Dellvery Fee <br />Return Receipt Showlnp <br />to whom tin0 Date Deliveretl , <br />Return recelpf'atrowing to wrtom, <br />Date, antl Address of Dell fy_ <br />TOTAL Postage an ~ ~ ~ \ <br />Postmark or Dat A l ~ Ta~O ~ L.1' <br />I DD <br />~` < <~~ <br />~J~/, <br />,x' • / <br /> <br />9 •~ <br />~~ <br />